A Case of Endovascular Stent Graft Placement for a Proximal Anastomotic Aneurysm after Abdominal Aortic Aneurysm Surgery

(Division of Organ Regeneration Surgery, Faculty of Medicine, Tottori University, Yonago, Japan and Department of Cardiovascular Surgery, Hamada Medical Center*, Hamada, Japan)

Munehiro Saiki* Hideki Nakashima Tohru Hiroe
Yoshinobu Nakamura Naruto Matsuda Yasushi Kanaoka
Shingo Ishiguro Shigetsugu Ohgi
@A 77-year-old man was hospitalized for a proximal anastomotic aneurysm 9 years after surgery for an abdominal aortic aneurysm. The aneurysm was located 3cm distal to the renal artery. The maximum diameter was 55mm. His medical history included a reoperation for the proximal anastomotic aneurysm and cerebral infarction. Endovascular stent grafting was performed because it was possible anatomically. Postoperatively, no endoleak nor migration were found. At present, the patient is being followed up regularly in the outpatient department. Endovascular stent graft placement can be an effective method for reoperation cases of an abdominal aortic aneurysm, and if it is possible anatomically, it should be attempted.
@Jpn. J. Cardiovasc. Surg. 34: 406-408 (2005)